Tobacco cessation
25 important questions on Tobacco cessation
The 5 A's model for treating tobacco use and dependence
Advise to quit
Assess readiness to quit
Assist in quit attempt
Arrange follow-up
Pack year smoking history
Preferred 1st line: pregnant, adolescents, "light smokers"
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Smoking women >/= 35 years, should not take what?
What vaccines do smokers aged 19-64 years, specifically need?
1st line nicotine replacement therapy (NRT)
[more effective than monotherapy]
Rx NRT side effects
Nicotine nasal spray (Nicotrol NS): nasal irritation
Should the nicotine patch (nicoderm cq) be removed before MRI?
Nicotine gum and lozenge counseling
Nicotine patch (nicoderm cq) start dose is based on what?
(1 pack = 20 cigarettes)
Nicotine gum/lozenge start dose is based on what?
Nicotine gum/lozenge starting dose
How does bupropion work?
Does bupropion need to be tapered when discontinued?
Bupropion SR (zyban) dosing
Max: 300 mg/day
Bupropion warnings/side effects
What can be done to decrease insomnia with bupropion?
The most effective monotherapy for smoking cessation because it decreases withdrawal symptoms and rewards with smoking
When should varencicline be started? Does it need tapered when discontinued?
How should varencicline be tapered up?
Days 4-7: 0.5 mg BID
Day 8 (quit date): 1 mg BID
Varencicline warnings/side effects
How to decrease nausea with varencicline?
Varencicline is more effective than what?
Varencicline + nicotine patch is more effective than what?
Varencicline alone
If patient has weight gain, use?
Nicotine patch counseling
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